摘要
张仲景对阳明腑实腹痛的诊治是系统的、有层次性的,按照腹痛的不同部位、不同性质及其不同的本证及兼证、变证,在通腑导滞的基础上治疗方药各有化裁。梳理阳明腑实腹痛诊治的层次性,讨论腹痛诊治理论的层次性对急性胰腺炎不同阶段、不同表现诊疗的指导意义,并提出"通腑导滞、中病即止"在重症急性胰腺炎治疗中的新观念,即通腑导滞不应仅局限于"得快利即止",而应涵盖于重症急性胰腺炎治疗全过程。
ZHANG Zhongjing＇s diagnosis and treatment theory on abdominal pain wltla Yangmmg l^u-vlscera ex- cess syndrome is systematic and hierarchical. Based on the Fu-viscera unblocking and stasis dredging method, the therapeutic prescriptions were modified according to the pain locations, disease features, major syndrome and other accompanying and altered syndromes. The hierarchies of diagnosing and treating abdominal pain with Yangming Fu-viscera excess syndrome were analyzed. How this hierarchical theory guided the diagnosis and treatment of acute pancreatitis on different symptoms at different periods was discussed. A new opinion of ＂Fu-viscera unblocking and stasis dredging, medication discontinuing since recovery＂ in treating severe acute pancreatitis was put forward, which meant that ＂Fu-viscera unblocking and stasis dredging＂ would be not limited to the starting effect period as ＂once adequate diarrhea appears, stop medication＂ said, but during the whole severe acute pancreatitis treating process.
出处
《中医杂志》
CSCD
北大核心
2015年第11期922-925,共4页
Journal of Traditional Chinese Medicine
基金
浙江省中医药软科学研究计划(2009RA006)
关键词
急性胰腺炎
阳明腑实
腹痛
通腑导滞
acute pancreatitis, Yangming Fu-viscera excess, abdominal pain, Fu-viscera unblocking and stasisdredging
